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A new ocular trauma score in pediatric penetrating eye injuries
1Ministry of Health, Ankara Diskapi Yildirim Beyazit Training and Research Hospital, Department of Ophthalmology, Ankara, Turkey. druguracar@gmail.com
Insights
A new ocular trauma score (OTS) shows prognostic value for pediatric penetrating eye injuries. This tool aids in predicting outcomes for children experiencing severe eye trauma.
Area of Science:
- Ophthalmology
- Pediatric Traumatology
- Medical Scoring Systems
Background:
- Penetrating eye injuries in children are a significant cause of vision impairment.
- Accurate prognostic tools are crucial for managing pediatric ocular trauma.
Purpose of the Study:
- To evaluate the prognostic capability of a novel ocular trauma score (OTS) specifically for pediatric penetrating eye injuries.
- To determine the correlation between the OTS and final visual acuity in this patient group.
Main Methods:
- Prospective evaluation of children aged 15 years or younger with penetrating eye injuries.
- Data collection included demographics, injury details, initial and final visual acuity (VA), and injury classification using the new OTS.
- Statistical analysis assessed the relationship between the OTS and final VA.
Main Results:
- The study included 29 pediatric patients (30 eyes) with penetrating eye injuries.
- A statistically significant relationship was observed between initial and final visual acuity (P < 0.001).
- The new OTS was calculated for each injury to assess its prognostic potential.
Conclusions:
- The newly developed ocular trauma score (OTS) demonstrates potential as a prognostic indicator for pediatric penetrating eye injuries.
- Early assessment using the OTS may assist in predicting visual outcomes for affected children.
Purpose:
To assess the prognostic value of a new ocular trauma score (OTS) in pediatric penetrating injuries.
Methods:
Children ≤ 15 years of age that presented to the emergency room with penetrating eye injuries between April 2007 and August 2008 were evaluated prospectively. All patients were reviewed on the basis of age, gender, time of injury and how it happened, time of admission, time of surgery, type of penetrating injury, initial and final visual acuity (VA), and concomitant eye pathology. Injuries were classified based on a new OTS, and we assessed the relationship with final VA and the new OTS.
Results:
In total, 30 eyes in 29 patients (41.38% female, 58.62% male) with a mean age of 6.83 ± 4.00 years (range: 1-15 years) were included in the study. Initial VA, which was evaluated in 22 patients, was as follows: no light perception (NLP) in 2 (9.09%) patients, light perception (LP) to hand motion (HM) in 8 (36.36%) patients, counting fingers in 6 (27.27%) patients, 0.1-0.5 in 4 (18.18%) patients, and ≥ 0.6 in 2 (9.09%) patients. Final VA, which was evaluated in 27 patients, was as follows: NLP in 3 (11.11%) patients, LP to HM in 3 (11.11%) patients, counting fingers in 2 (7.41%) patients, 0.1-0.5 in 11 (40.74%) patients, and ≥ 0.6 in 8 (29.63%) patients. The relationship between initial VA and final VA was statistically significant (P < 0.001).
Conclusions:
The new OTS calculated at initial examination may be of prognostic value in children with penetrating eye injuries.
